Migralepsy: A Case Report

Background: There are different possible temporal associations between epileptic seizures and headache attacks which have given rise to unclear or controversial terminologies. The classification of the International League Against Epilepsy does not refer to this type of disorder, while the International Classification of Headache Disorders (ICHD-III beta version) defines three kinds of association: 1. migraine-triggered seizure (‘‘migralepsy’’), 2. hemicrania epileptica, and 3. post-ictal headache.

Case Report: The history of the child show the temporal succession of clinical events that suggest the real “migralepsy”. The case is interesting because of the susceptibility of crisis triggered by emotional factors as can be for the headache. The child describes her feel well and therefore the partial crisis documented by the EEG is well representative.

Conclusion: The case is suggested for the rarity of this pathology also in the childhood.